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• Preparation of women for birth should include education about the increased metabolic stresses of labour and how blood glucose will be controlled during labour and birth • Maternal hyperglycaemia during labour increases the risk of neonatal hypoglycaemia • High levels of stress hormones released during labour increase risk of maternal hyperglycaemia • Insulin requirements fall immediately following birth of the baby.

• Preparation of women for birth should include education about the increased metabolic stresses of labour and how blood glucose will be controlled during labour and birth • Maternal hyperglycaemia during labour increases the risk of neonatal hypoglycaemia • High levels of stress hormones released during labour increase risk of maternal hyperglycaemia • Insulin requirements fall immediately following birth of the baby.